NELSON P. CHAMBLESS MD PA
Medical Practice at 87 Ct, Miami, FL

License number
Florida ME0049773
Category
Medical Practice
Type
Gynecology
Owner
Name: DR. NELSON P CHAMBLESS MD
Title: PRESIDENT
Phone: (305) 598-3437
Address
Address
9000 SW 87Th Ct SUITE 217, Miami, FL 33176
National Provider ID: 1578836722
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NELSON P. CHAMBLESS, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Apr 20, 1989
Inactive since:
Sep 26, 2014
Addresses:
9195 SW 72 SUITE 200, Miami, FL 33173 (Physical)
Miami, FL 33243 (Mailing)
9000 SW 87 Ct, Miami, FL 33176
PO Box 430892, Miami, FL 33243
State ID:
K81803
Business type:
Florida Profit Corporation
Director:
Nelson P. Chambless Director, inactive, 9195 SW 72, Miami, FL 33173 (Physical)
Agent:
Nelson Chambless,9195 SW 72 Steet SUITE 200, Miami, FL 33173 (Physical)
EIN:
65-0115534

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